| Kimberly Petusky, PTA | |
|
58 Neitz Rd, Northumberland, PA 17857-9608 | |
| (570) 473-8366 | |
| Not Available |
| Full Name | Kimberly Petusky |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 58 Neitz Rd, Northumberland, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336810050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | TEI000695 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Petusky, PTA 2447 3rd St, Bloomsburg, PA 17815-3118 Ph: (570) 316-8232 | Kimberly Petusky, PTA 58 Neitz Rd, Northumberland, PA 17857-9608 Ph: (570) 473-8366 |
Tiara D. Shipe, P.T. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 845 Water Street, Northumberland, PA 17857 Phone: 570-473-3912 Fax: 570-473-8731 | |
Susan Elaine Webster, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 845 Water St, Northumberland, PA 17857 Phone: 570-473-3912 Fax: 570-473-8731 |